2023-09-28 14:46:10 +00:00
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abstract: 'BACKGROUND: To date, the Individual Placement and Support (IPS) model is
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the only vocational intervention that has been rigorously studied and
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shown to be effective with Veterans with spinal cord injury (SCI).
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Customized Employment (CE) is an innovative vocational intervention with
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promising results among people with disabilities which has yet to be
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tested in persons with SCI.
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OBJECTIVE: To determine whether a Customized Employment (CE)
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intervention adapted for SCI rehabilitation is more effective than the
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standard care (IPS) for helping Veterans with SCI obtain and maintain
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employment.
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METHODS: A 4-year, 2-site randomized clinical trial (RCT) with
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concurrent mixed methods using an intent-to-treat (ITT) approach. The
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primary outcome is competitive integrated employment as defined by the
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Work Innovation and Opportunity Act. Secondary outcomes are employment
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indicators, quality of life (QOL), and participation.
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RESULTS: This is a methods paper so there are no results to present at
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this time.
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CONCLUSION: The proportion of Veterans who attain employment will be
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greater for the CE group than the IPS group and they will outperform the
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IPS group on other employment-related metrics (e.g., higher job
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satisfaction, wages, and retention). Employed Veterans will demonstrate
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significant improvements in self-sufficiency, QOL, and participation.
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Qualitative data obtained from interviews will assist with adaptation
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strategies and will identify barriers to implementing CE.'
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affiliation: 'Ottomanelli, L (Corresponding Author), James A HaleyVeterans Hosp \&
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Clin, 13000 Bruce B Downs Blvd, Tampa, FL 33612 USA.
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Ottomanelli, Lisa; Cotner, Bridget A.; Toyinbo, Peter A.; Venkatachalam, Hari H.;
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Cessna-Palas, Julie; Mendelson, Samantha; Cruz, Areana; Pierce, Bradford S., James
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A Haley Vet Hosp \& Clin, Tampa, FL USA.
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Ottomanelli, Lisa; Smith, Tammy Jorgensen; Dillahunt-Aspillaga, Christina J.; Cruz,
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Areana, Univ S Florida, Coll Behav \& Community Sci, Dept Rehabil \& Mental Hlth
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Counseling, Tampa, FL USA.
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Cotner, Bridget A., Univ S Florida, Dept Anthropol, Tampa, FL USA.
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McDonald, Scott, Cent Virginia VA Hlth Care Syst, Mental Hlth Serv, Richmond, VA
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USA.
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McDonald, Scott; Goetz, Lance, Virginia Commonwealth Univ, Sch Med, Dept Phys Med
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\& Rehabil, Richmond, VA USA.
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McDonald, Scott, Virginia Commonwealth Univ, Coll Human \& Sci, Dept Psychol, Richmond,
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VA USA.
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Goetz, Lance, Cent Virginia VA Hlth Care Syst, Spinal Cord Injury \& Disorders Serv,
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Richmond, VA USA.
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McCauley, Liron, Cent Virginia VA Hlth Care Syst, Richmond, VA USA.'
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author: Ottomanelli, Lisa and Smith, Tammy Jorgensen and Cotner, Bridget A. and Toyinbo,
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Peter A. and Venkatachalam, Hari H. and McDonald, Scott and Goetz, Lance and Cessna-Palas,
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Julie and Mendelson, Samantha and Dillahunt-Aspillaga, Christina J. and Cruz, Areana
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and McCauley, Liron and Pierce, Bradford S.
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author-email: lisa.ottomanelli@va.gov
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author_list:
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- family: Ottomanelli
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given: Lisa
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- family: Smith
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given: Tammy Jorgensen
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- family: Cotner
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given: Bridget A.
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- family: Toyinbo
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given: Peter A.
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- family: Venkatachalam
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given: Hari H.
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- family: McDonald
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given: Scott
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- family: Goetz
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given: Lance
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- family: Cessna-Palas
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given: Julie
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- family: Mendelson
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given: Samantha
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- family: Dillahunt-Aspillaga
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given: Christina J.
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- family: Cruz
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given: Areana
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- family: McCauley
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given: Liron
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- family: Pierce
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given: Bradford S.
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da: '2023-09-28'
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doi: 10.3233/JVR-230016
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eissn: 1878-6316
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files: []
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issn: 1052-2263
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journal: JOURNAL OF VOCATIONAL REHABILITATION
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keywords: 'Customized employment; disability; randomized clinical trial; spinal
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cord injury; supported employment; Veterans; vocational rehabilitation'
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keywords-plus: 'QUALITY-OF-LIFE; SUPPORTED EMPLOYMENT; INDIVIDUAL PLACEMENT; VOCATIONAL
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SERVICES; OUTCOMES; ADULTS; PROGRAM; INTERVENTIONS; DISABILITIES;
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WORKFORCE'
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language: English
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number: '3'
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number-of-cited-references: '73'
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pages: 279-292
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papis_id: 90105db5a0f2e653e090b93691db3909
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ref: Ottomanelli2023achievingcompetitive
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times-cited: '0'
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title: 'Achieving competitive, customized employment through specialized services
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for Veterans with spinal cord injuries (ACCESS-Vets): A randomized clinical trial
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protocol'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000995589500006
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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volume: '58'
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web-of-science-categories: Rehabilitation
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year: '2023'
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